Gordon, Brahm Alexander

Gordon, Brahm Alexander is an individual health care provider with primary practice located at 934 S Main St , Layton UT 84041-4250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gordon, Brahm Alexander can be contacted via phone (801) 546-1168.

Contact Information

Primary practice address
934 S Main St Layton UT 84041-4250
Phone: (801) 546-1168
Fax: (801) 544-0770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5503536-3503 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5503536-3503 Utah

Profile Details

NPI number 1659558658
LBN Legal business name Gordon, Brahm Alexander
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Jan 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers